Release From Liability. Read this carefully.
By signing this you will be giving up important rights. In consideration of my acceptance of my entry form in this powerlifting/benchpress competition, I understand that I am legally bound for not only myself but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release Josh Anderson, Rockford College at Rockford, Illinois, L B Baker,  Svetlana Baker, IronDawg Power,  The American Powerlifitng Committee,  all Officials, Referees, Spotter/Loaders, and any other person or firm taking part in this competition from any and all liability which may arise from this competition. I understand all of the above for my acceptance of my entry in this competition. By signing this entry form I affirm that all the information on this form is correct.

Signature________________________________________________________    APC Card Number_______________

Parent or guardian if under 18________________________________________


Contest start at 10:00 AM Saturday

Powerlifting $60.00- Benchpress- $40.00. .  Team entry $60.00

Weigh ins will be held at max muscle nutrition 6738 broadcast pkwy loves park 61111 from 10-12 on friday, and again 5-7 that evening. Weigh ins also held at meet location morning of.

Send check payable to Josh Anderson and mail to: Josh Anderson, 1164 W. 2nd Street, Byron, Il. 61010 www.americanpowerliftngcommittee-usa.com

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